外科学（总论）：创伤.pptVIP

Gross haematuria, cystogram(膀胱造影) revealed no bladder rupture or perforation. Re-laparotomy and tracheostomy on POD 3. Gauze(纱布塞) packing removed. Case Discussion Post-operation swinging fever. CT abdomen: right subphrenic collection. CT guided drainage done on POD 9, 25 ml bloody fluid aspirated, culture negative. Fever subsided after antibioics. Haematuria resolved after bladder irrigation. Case Discussion Internal fixation of bilateral sacroiliac joints(骶髂关节） and re-adjustment of external fixator done on POD 11. Condition remained stable. Transferred to orthopaedic ward on POD 21. Liver function gradually recovered. Planned for removal of external fixator and mobilization exercise afterwards. Case Discussion 思考题 创伤的组织修复过程是怎样的？ 一般伤口如何处理(清创术)？ 创伤后机体会出现哪些反应？ 只剩两 tian就要 考试了!!!!!! 谢谢 观看 * * In 2002, people aged 15–44 years accounted for more than half of all road traffic deaths globally. They also accounted for about 60% of all DALYs lost because of road traffic injury ( 52). In high income countries, people aged 15–29 years had the highest death rates per 100 000 population, but in low-income and middle-income countries people 60 years and older had the highest rates. In low income and middle-income countries children have much higher rates of road traffic death than in high-income countries. In 2002, people 60 years and older accounted for more than 193 000 road traffic deaths. Their death rates per 100 000 population were the highest of all age categories in low-income and middle-income countries. When involved in a motor vehicle crash, elderly people are more likely to be killed or seriously disabled than younger people because they are generally less resilient. * * 维持伤员气道通畅 注意事项 ——危重情况立即抢救 如:窒息、大出血等 ——检查动作应恰巧， 避免加重损伤 ——仔细寻找隐蔽的损伤 如：左下胸部伤，肋骨有骨折时 ——多个病人时，不忽视不出声的病人 ——治疗过程中密切观察 治疗 伤口的分类： Ⅰ类伤口：清洁伤口Cleaning Wound 无菌手术切口 Ⅱ类伤口：污染伤口Contaminated Wound 有细菌污染而尚未构成感染 ——行清创术 一般伤口8h，头面部12h Ⅲ类伤口：感染